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Adjunctive Middle Meningeal Artery Embolization for Subdural Hematoma [PDF]
New England Journal of MedicineSubacute and chronic subdural hematomas are common and frequently recur after surgical evacuation. The effect of adjunctive middle meningeal artery embolization on the risk of reoperation remains unclear.In a prospective, multicenter, interventional, adaptive-design trial, we randomly assigned patients with symptomatic subacute or chronic subdural ...
Ameer E. Hassan +2 more
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Embolization of the Middle Meningeal Artery for Chronic Subdural Hematoma
New England Journal of MedicinePatients receiving standard treatment for chronic subdural hematoma have a high risk of treatment failure. The effect of adjunctive middle meningeal artery embolization on the risk of treatment failure in this population remains unknown.We randomly assigned patients with symptomatic chronic subdural hematoma to undergo middle meningeal artery ...
Stephen J Monteith +2 more
exaly +5 more sources
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Middle meningeal artery embolization in pediatric patient
Child's Nervous System, 2022There is paucity of data in management of recurrent and expanding subdural hematomas (SDH) within the pediatric population, who are otherwise not surgical candidates. Middle meningeal artery (MMA) embolization has been utilized minimally in this population and here, we explore the utility of this procedure in a 15-month-old-child, along with review of ...
John, Souter +4 more
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Middle Meningeal Artery Embolization for Nonacute Subdural Hematoma
New England Journal of MedicineThe effect of embolization of the middle meningeal artery in patients with subacute or chronic subdural hematoma is uncertain.We performed a multicenter, open-label, randomized trial in China, involving patients with symptomatic nonacute subdural hematoma with mass effect.
Yu Zhou, Wenyuan Zhao, Fang Shen
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Middle Meningeal Artery Embolization for Subdural Hematoma
New England Journal of MedicineChronic subdural hematoma (cSDH) is a common neurosurgical disease that is increasing in incidence worldwide. While surgical evacuation can relieve mass effect and alleviate neurologic symptoms, drainage alone does not address underlying cSDH pathophysiology, likely resulting in high rates of recurrence.
Mattis A, Madsbu, Sasha, Gulati
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Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: A Review
Operative Neurosurgery, 2023Middle meningeal artery embolization (MMAE) for chronic subdural hematomas (cSDHs) has evolved as a potential treatment alternative for these lesions. The indications for using this treatment modality and the pathophysiology of cSDHs are an area of considerable interest.
Daniel A, Tonetti +2 more
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Middle meningeal artery embolization for treatment of chronic subdural hematoma
Die Radiologie, 2022Chronic subdural hematoma (cSDH) is caused by rupture of bridging intracranial veins located in the subdural space. Predominantly, cSDH is a disease of older adults and other predisposing risk factors include minor head trauma, cerebral atrophy, antiplatelet and anticoagulation therapies, arterial hypertension, cerebrovascular atherosclerosis, diabetes
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Middle Meningeal Artery Embolization for the Treatment of an Expanding Epidural Hematoma
World Neurosurgery, 2019Epidural hematomas (EHs) usually originate from traumatic injury to the middle meningeal artery (MMA). Although large EHs may need to be emergently evacuated, the management of smaller EHs is less clear, especially in the absence of significant mass effect or neurologic deficits.
Benjamin M. Zussman +4 more
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Journal of NeuroInterventional Surgery, 2020
This 52-year-old man with no remarkable medical history, no anticoagulation use, and no history of trauma was noted to have a subacute–chronic left subdural hematoma during outpatient headache evaluation. No occult vascular lesion or cross-calvarial supply of the right middle meningeal artery (MMA) to the left side was identified on bilateral selective
Gary B Rajah +4 more
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This 52-year-old man with no remarkable medical history, no anticoagulation use, and no history of trauma was noted to have a subacute–chronic left subdural hematoma during outpatient headache evaluation. No occult vascular lesion or cross-calvarial supply of the right middle meningeal artery (MMA) to the left side was identified on bilateral selective
Gary B Rajah +4 more
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Middle Meningeal Artery Embolization for Chronic Subdural Hematomas
2021Middle meningeal artery (MMA) embolization has become an increasingly well-established treatment option for refractory and recurrent chronic subdural hematomas (CSDHs). Embolization of the MMA interrupts a self-propagating cycle of bleeding from abnormally permeable capillaries and an associated inflammatory response within neovascularized hematoma ...
Stephanie Zyck, Harish Babu
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